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. Author manuscript; available in PMC: 2022 May 7.
Published in final edited form as: Pediatr Neurol. 2019 Dec 3;104:23–29. doi: 10.1016/j.pediatrneurol.2019.11.016

TABLE 2.

Initial Remission by Treatment

Variable Remission* (%) P Relapse (%)

Response to first treatment 47/115 (41) - 5/47 (11)
 Standard 47/114 (41)
  Vigabatrin 10/52 (19)
  ACTH 21/32 (66) 3/21 (14)
  Prednisolone 16/30 (53) 2§/16 (13)
 Nonstandard 0/1 (0)
  Levetiracetam 0/1 (0)
Response to second treatment 25/62 (40) 0.004 4/25 (16)
 Standard 23/44 (52)
  Vigabatrin 10/22 (45) 2/10 (20)
  ACTH 3/5 (60)
  Prednisolone 10/17 (59) 2/10 (20)
 Nonstandard 2/18 (11) 0
  Levetiracetam 0/1
  Clobazam 1/9 (11) 0
  Zonisamide 1/5 (20) 0
  Topiramate 0/2
  Oxcarbazepine 0/1
Response to third treatment 5/33 (15) 0.008 1/5 (20)
 Standard 5/14 (36)
  Vigabatrin 0/2 (0)
  ACTH 2/5 (40)
  Prednisolone 2/6 (33) 1#/2 (50)
  Surgery 1/1 (100)
 Nonstandard 0/19 (0)
  Zonisamide 0/6
  Clobazam 0/4
  Ketogenic diet 0/4
  Cannabidiol 0/3
  Topiramate 0/2

Abbreviation:

ACTH = Adrenocorticotropic hormone

Values are N (row %)

*

Clinical remission beginning within two weeks of starting treatment and persisting for a minimum of 28 days plus electrographic remission.

Difference in remission between standard and nonstandard therapies tested using chi-square tests (Fisher’s exact test used if any group had fewer than five remissions).

After relapse, remission by three months with epilepsy surgery (1), prednisolone (1), or vigabatrin (1).

§

Both with remission at three months but later relapsed without subsequent remission.

One with three-month remission and one without, both without subsequent remission.

Both with remission at three months but later relapsed without subsequent remission.

#

Remission at three months but later relapse without subsequent remission.